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HomeMy WebLinkAboutX2022-1314 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application OVr Comm'l OZ Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL GZBuilding r-Grading r-Drainage (ZElec r-Mech (-Plum CuydCut s CuvdFill s Project Address (Not mailing address) lood r-- Fire iq r-" Landslide r-N/A Floor Suite No 301 Sapphire Avenue, Balboa Island s Description of Work Use FD Const Type -B NR Remodel Existing Single -Family Dwelling. Extend Front Entry. Add to Second Floor Master # Stories #Units (if Res) Replace Existing Exterior Siding. Valuation $ F130,000.00 Material/Labor New/Add SF 16.34 sf Remodel SF 25 sf Garage/New/Add �— OWNER'S NAME Last Phillips First Malcom Owner's Address Owner's E-mail Address 301 Sapphire Avenue City I Balboa Island State CA Zip r92662 Telephone 714-496-7226 APPLICANT'S NAME Last Architect First Applicant's Address Applicant's E-mail Address City State F— Zip F Telephoned ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. C-6947 Architect/Designer's Address Architect/Designer's E-mail Address 20 Newport Center Drive #11-342 Ian@lanHarrisonArchitect.com City Newport Beach State CA Zip 92660 Telephone 49-723-1019 ENGINEER'S NAME Last Rezaei First Ali Lic. No. 41068 Engineer's Address Engineer's E-mail Address 18021 Skypark Circle, E2 li@rce-eng.com City Irvine State CA Zip 2614 Telephone 49-880-2866 CONTRACTOR'S NAME/COMPANY Lic. No. 47'4Q C{ Class Contractor's Address Contractor's E-mail Address City State F Zip Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ �' -